ROBERT M JUNG (Credential# 541737) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
ROBERT M JUNG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016012. The credential type is physician/surgeon. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 1032 Pirates Way, Manteo, NC 27954-9466. The current status is active.
| Licensee Name | ROBERT M JUNG |
| Credential ID | 541737 |
| Credential Number | 1.016012 |
| Credential Type | Physician/Surgeon |
| Business Address |
1032 Pirates Way Manteo NC 27954-9466 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1973-06-08 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2019-11-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 144025 | CSP.0006984 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 | 2013-06-11 - 2015-02-28 | INACTIVE |
| Street Address | 1032 PIRATES WAY |
| City | MANTEO |
| State | NC |
| Zip Code | 27954-9466 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Outer Banks Craft Distilling LLC | 510 Budleigh St, Manteo, NC 27954 | Out of State Shipper Liquor | 2018-10-04 ~ 2019-10-03 |
| Elizabeth A Creef | P.o. Box 1463, Manteo, NC 27954 | Registered Nurse | 1998-05-11 ~ 1999-07-31 |
| Harold J Goodman | Po Box 665, Manteo, NC 27954 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Kristin Leigh Snead | 189 Dare Ave, Manteo, NC 27954-9002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sonja M Revelle · Mason | 199 Dogwood Trl, Manteo, NC 27954-9677 | Registered Nurse | 2012-10-01 ~ 2013-09-30 |
| City | MANTEO |
| Zip Code | 27954 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANTEO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas S Jung | 455 Lewis Ave Ste 105, Meriden, CT 06451-2121 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jung Hoon Son | 226 W 97th St Apt 5c, New York, NY 10025-5607 | Physician/surgeon | 2016-04-13 ~ 2017-04-30 |
| Jung K Choe | 127 Augusta Dr, Moorestown, NJ 08057-3981 | Physician/surgeon | 1977-11-04 ~ 1980-11-30 |
| Jung H Kim | 10958 Colima Street, Cypress, CA 90720-3877 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Hojoon Jung | 111 Park Street, #10-t, New Haven, CT 06511 | Physician/surgeon | 2002-10-16 ~ 2003-10-31 |
| Hee C Jung | 9175 Etching Overlook, Duluth, GA 30097 | Physician/surgeon | 2004-01-30 ~ 2005-02-28 |
| Jung C Lew | 28 Dibble Hollow Lane, Windsor Locks, CT 06096 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Robert Y Hsiung | C/o Jung/brannen Assoc Inc, Boston, MA 02210 | Architect | 1998-08-01 ~ 1999-07-31 |
| Marlene D Jung | 40 Tower Lane, Avon, CT 06001 | Certified Public Accountant Firm Permit | 1997-01-01 ~ 1997-12-31 |
Please comment or provide details below to improve the information on ROBERT M JUNG.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).